Weifang Medical Security Information System Suspension Service Announcement
In order to further improve the level of medical insurance handling services, in accordance with the province's medical security information construction work arrangement, the Weifang medical security information system will be centralized at the provincial level from December 1 to December 5, 2023, and the city's relevant medical security services will be suspended at that time
Suspension of service hours
Suspension time: From 18:00 on December 1 (Friday).
Service resumption time: from 08:30 on December 5 (Tuesday).
Suspension of Service Scope
During the period of system centralization, all medical security operations in the city will be suspended. Specifically, it includes: medical insurance registration;The basic medical insurance relationship is transferred and continued;Medical Insurance Settlement System for Designated Medical Institutions;Remote medical treatment system, personal account remote payment system;Medical insurance online service platform (including the palm office and online office system);Medical Insurance Electronic Voucher System;Other information systems related to the health insurance system.
Business handling during the suspension of service
1) Registration, payment and transfer of insurance.
1.During the period of system provincial concentration, the registration and payment of medical insurance related businesses will be suspended, including the declaration of payment base, insurance registration, information change, personnel increase and decrease, information inquiry, personal account allocation, urban and rural residents' insurance registration, information change, information inquiry, special declaration, tax department medical premium collection and other online and offline business, which will resume after the completion of the system and provincial centralization.
2.The basic medical insurance relationship for employees is transferred and continued. The basic medical insurance relationship of employees is transferred, and the "basic medical insurance participation certificate" and "basic medical insurance transfer type change information table" are normally collected and sorted out, and the business is handled after the completion of the system province. The transfer of basic medical insurance for employees shall be suspended during the period of system and provincial centralization, and will be gradually resumed after the completion of the system and provincial centralization.
2) Settlement of local outpatient and inpatient expenses.
1.Settlement of general outpatient clinics, outpatient chronic diseases, and residents' "two diseases". Insured patients can purchase drugs in advance at designated medical institutions according to their conditions before the centralized shutdown of the system province to ensure uninterrupted daily medication. If you need to prescribe drugs during the centralized shutdown of the system province, you can pay the full amount of the medicine first, and go to the original designated medical institution for supplementary settlement after the system is completed.
2.Hospitalization** Settlement of Expenses. The insured persons who are discharged from the hospital during the centralized shutdown of the system province shall be retained by the designated medical institutions and shall be supplemented and settled after the system provincial centralized shutdown is completed.
3) Settlement of medical treatment in other places.
The remote medical treatment business is handled in two situations: first, if the provincial centralized shutdown applies for the filing or re-filing of remote medical treatment, the patient information shall be registered by each agency, and the system will be put into operation for the record or re-filing according to the regulations, so as to facilitate the online settlement of patients;Second, if it has been filed but cannot be directly settled online, or if it is discharged from the hospital during the provincial centralized shutdown and fails to file in time, the medical expenses incurred shall be paid in full by the insured and reimbursed manually after returning to the insured place.
4) Apply for outpatient chronic diseases and residents' "two diseases" treatment.
During the provincial centralized shutdown period, the city's designated medical institutions with outpatient chronic diseases and residents' "two diseases" application qualifications will normally accept outpatient chronic diseases and residents' "two diseases" declaration business, and will be confirmed and registered after the completion of the system provincial concentration. During the period, for the insured persons who have passed the certification, they will be temporarily managed according to the outpatient chronic disease and the "two diseases" of residents.
5) Personal account consumption and account fund transfer business.
During the provincial centralized shutdown, the insured person cannot use the funds in the personal account of medical insurance to purchase drugs for medical treatment, and the transfer of funds in the personal account will be suspended, and the system will return to normal after the completion of the provincial centralization.
6) Long-term care insurance business for employees.
First, during the system switchover and shutdown, the application for long-term care benefits is not restricted, and the application can be submitted normally. Second, during the system switching and shutdown, if it is necessary to go through the procedures for building or removing the bed, suspend the handling, and after the system is restored, the designated nursing institution will supplement the settlement information, and settle according to the actual time of bed construction and withdrawal.
7) Maternity insurance business.
During the centralized shutdown of the system province, the online and offline application for various maternity insurance benefits will be suspended, and the handling will resume after the system and province are completed.
8) Online office and business management.
During the provincial centralized shutdown, the online office, the business in charge (the official ** of the Municipal Medical Insurance Bureau, WeChat *** Alipay and the WeChat "Weifang Medical Insurance" applet), the inquiry, application and use of medical insurance electronic vouchers will be suspended, and the system will return to normal after the completion of the provincial centralization.
Miscellaneous
During the period of system provincial concentration, the insured and the insured units are requested to reasonably arrange the time for applying for medical insurance business, and make arrangements for drug purchase and medical treatment according to the guidelines of designated medical institutions. We apologize for the inconvenience caused by this process. If you have any questions, you can consult the Weifang Municipal Medical Security Bureau or the medical security departments of various counties and cities.
The announcement is hereby made. Weifang Medical Security Bureau.
November 24, 2023.